Tracking contact quality to vital signs measurement sensors

• US 10,085,639 B2
• Filed: 03/24/2016
• Issued: 10/02/2018
• Est. Priority Date: 03/24/2016
• Status: Active Grant

• Current Assignee: Philips Healthcare Informatics Incorporated (Koninklijke Philips N.V.)
• Original Assignee: Qualcomm, Inc.
• Inventors: Ballam, Robert Scott, Ganton, Robert Bruce, Dickey, Stephen
• Primary Examiner(s): Bousono, Orlando
• Application Number:
  US15/079,280
• Publication Number:
  US 20170273560A1
• Time in Patent Office: 922 Days
• CPC Class Codes: A61B 5/0002 Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network A61B5/07 takes precedence; transmission systems for measured values G08C; transmission H04B; transmission of digital information H04L; wireless communication networks H04W
• CPC Class Codes: A61B 5/14551 for measuring blood gases
• CPC Class Codes: A61B 5/6833 Adhesive patches
• CPC Class Codes: A61B 5/6843 Monitoring or controlling sensor contact pressure
• CPC Class Codes: A61B 5/7221 Determining signal validity, reliability or quality A61B5/7207 and A61B5/7217 take precedence

Abstract

Various embodiments include a variety of sensors, such as a pulse oximeter, configured to track a dynamic component of a sensor and take an action based on a characteristic of the dynamic component. Some embodiments may include determining a gain applied to a signal of the sensor, determining whether the gain is discontinuous, and indicating that a sensor measurement associated with the signal is low quality in response to determining that the gain applied is discontinuous. Some embodiments may include determining a peak-to-peak voltage of an output of a sensor, determining whether the peak-to-peak voltage is within an acceptable peak-to-peak voltage range, and indicating that a measurement associated with the received signal is low quality in response to determining that the peak-to-peak voltage is outside the acceptable peak-to-peak voltage range.

Claims

1. A method for determining measurement quality of one or more measurements from one or more sensors, comprising:

obtaining, at a processor, a first amplification gain for a first signal generated by the one or more sensors, wherein the one or more sensors are positioned on a subject'"'"'s body, and wherein the first amplification gain is for amplifying or reducing the first signal to within a first pre-determined level at a first time;

determining, at the processor, a second amplification gain for a second signal generated by the one or more sensors, wherein the second amplification gain is for amplifying or reducing the second signal to within a second pre-determined level at a second time after the first time; and

generating, at the processor, a contact quality value of a contact between the one or more sensors and the subject'"'"'s body based on a degree of change between the first amplification gain and the second amplification gain with respect to time.

2. The method of claim 1, wherein the generating the contact quality value based on the degree of change between the first amplification gain and the second amplification gain further comprises comparing the first amplification gain, the second amplification gain, and one or more thresholds.

3. The method of claim 1, further comprising:

adjusting one or more sensing modalities of the one or more sensors based on the contact quality value.

4. The method of claim 1, wherein a contact quality value less than a predetermined threshold indicates improper placement of the one or more sensors, movement of the subject, or any combination thereof.

5. The method of claim 1, further comprising:

filtering one or more measurements from the one or more sensors based on a comparison of the contact quality value and at least one threshold of a set of thresholds, wherein the one or more measurements are associated with the second signal.

6. The method of claim 1, wherein obtaining the first amplification gain, determining the second amplification gain, and generating the contact quality value based on the degree of change between the first amplification gain and the second amplification gain are performed after changes in a third amplification gain applied to at least one of the first signal or the second signal within a third time before the first time have stabilized to account for the subject'"'"'s body skin type and color.

7. The method of claim 1, wherein generating the contact quality value of the contact between the one or more sensors and the subject'"'"'s body based on the degree of change between the first amplification gain and the second amplification gain with respect to time comprises generating the contact quality value based on a gain difference between the first amplification gain and the second amplification gain.

8. The method of claim 7, wherein generating the contact quality value of the contact between the one or more sensors and the subject'"'"'s body based on the degree of change between the first amplification gain and the second amplification gain with respect to time comprises generating the contact quality value based on whether the gain difference exceeds a difference threshold.

9. The method of claim 7, wherein generating the contact quality value of the contact between the one or more sensors and the subject'"'"'s body based on the degree of change between the first amplification gain and the second amplification gain with respect to time comprises generating the contact quality value based on a gain change rate based on a ratio between the gain difference and a time elapsed between the first time and the second time.

10. The method of claim 9, wherein generating the contact quality value of the contact between the one or more sensors and the subject'"'"'s body based on the degree of change between the first amplification gain and the second amplification gain with respect to time comprises generating the contact quality value based on whether the gain change rate exceeds a rate threshold.

11. The method of claim 1, further comprising:

obtaining, at the processor, a third amplification gain for the signal, wherein the third amplification gain is associated with a third time prior to the second time; and

determining, by the processor, an average amplification gain based on an average between the first amplification gain and the third amplification gain;

wherein the contact quality value is generated based on a gain difference between the average amplification gain and the second amplification gain.

12. The method of claim 1, wherein generating the contact quality value of the contact between the one or more sensors and the subject'"'"'s body based on the degree of change between the first amplification gain and the second amplification gain with respect to time comprises maintaining the contact quality value based on the degree of change falling with a pre-determined range.

13. A device, comprising:

one or more sensors; and

a processor coupled to the one or more sensors, wherein the processor is configured to;

obtain a first amplification gain for a first signal generated by the one or more sensors, wherein the one or more sensors are positioned on a subject'"'"'s body, the first amplification gain being for amplifying the first signal to within a first pre-determined level at a first time;

determine a second amplification gain for a second signal generated by the one or more sensors, the second amplification gain being for amplifying the first signal to within a first pre-determined level at a second time after the first time; and

generate a contact quality value of a contact between the one or more sensors and the subject'"'"'s body based on a degree of change between of the first amplification gain and the second amplification gain with respect to time.

14. The device of claim 13, wherein the processor is configured such that generating a contact quality value based on the degree of change between the first amplification gain and the second amplification gain further comprises comparing the first amplification gain, the second amplification gain, and one or more thresholds.

15. The device of claim 13, wherein the processor is further configured to adjust one or more sensing modalities of the one or more sensors based on the contact quality value.

16. The device of claim 13, wherein a contact quality value less than a predetermined threshold indicates improper placement of the one or more sensors, movement of the subject, or any combination thereof.

17. The device of claim 13, wherein the processor is further configured to filter one or more measurements from the one or more sensors based on a comparison of the contact quality value and at least one threshold of a set of thresholds, wherein the one or more measurements are associated with the second signal.

18. The device of claim 13, wherein the processor is configured such that obtaining the first amplification gain, determining the second amplification gain, and generating the contact quality value based on the degree of change between the first amplification gain and the second amplification gain are performed after changes in a third amplification gain applied to at least one of the first signal or the second signal within a third time before the first time have stabilized to account for the subject'"'"'s body skin type and color.

19. The device of claim 13, wherein:

the first amplification gain is a gain applied to amplify or reduce an amplitude of the first signal at the first time; and

the second amplification gain is a gain applied to amplify or reduce an amplitude of the second signal at the second time.

20. The device of claim 13, wherein the processor is configured such that generating the contact quality value of the contact between the one or more sensors and the subject'"'"'s body based on the degree of change between the first amplification gain and the second amplification gain with respect to time comprises maintaining the contact quality value based on the degree of change falling with a pre-determined range.

21. A device, comprising:

one or more sensors configured to be coupled to a subject'"'"'s body and, when coupled to the subject'"'"'s body, output a signal indicative of a physiological property of the subject, wherein the one or more sensors include;

a generator configured to generate a respective stimulus to the subject'"'"'s body; and

a transducer configured to receive the stimulus subsequent to the stimulus being modified by the subject'"'"'s body and output a signal indicative of the modified stimulus; and

a processor coupled to the one or more sensors, wherein the processor is configured to;

obtain a first amplification gain value indicative of an amplification gain applied, at first time, to one of a first signal transmitted to the generator corresponding to generating of the stimulus or a second signal received from the transducer corresponding to the transducer receiving the modified stimulus, the first amplification gain being for amplifying or reducing the first signal or the second signal to within a first pre-determined level at the first time;

determine a second amplification gain value of an amplification gain applied, at a second time after the first time, to one of the first signal or the second signal, the second amplification gain being for amplifying or reducing the first signal or the second signal to within a second pre-determined level at the second time; and

generate a contact quality value of a contact between the one or more sensors and the subject'"'"'s body based on a degree of change between the first amplification gain value and the second amplification gain value with respect to time.

22. The device of claim 21, wherein the processor is configured such that generating the contact quality value of the contact between the one or more sensors and the subject'"'"'s body based on the degree of change between the first amplification gain and the second amplification gain with respect to time comprises maintaining the contact quality value based on the degree of change falling with a pre-determined range.

23. The device of claim 21, wherein the level of contact is indicative of:

a proximity of at least one of the one or more sensors to at least a portion of the subject'"'"'s body;

an amount of movement of the subject;

or

an accuracy of a placement of at least one of the one or more sensors on the subject'"'"'s body.

24. The device of claim 21, further comprising an automatic amplification gain control loop circuit, and wherein the signal transmitted to the generator corresponding to generating of the stimulus and the signal received from the transducer corresponding to the transducer receiving the modified stimulus of the first amplification gain value and the second amplification gain value are:

applied by the automatic amplification gain control loop circuit.

25. The device of claim 24, wherein the automatic amplification gain control loop circuit is configured to amplify or reduce the stimulus generated by the generator to mitigate a corresponding signal from exceeding a range, the corresponding signal generated by the transducer in response to receiving the stimulus.